Lower grip strength and dynamic body balance in women with distal radial fractures

Two hundred distal radial fractures, with a mean follow up of 20 months (range 6–49), were divided into three groups according to the presence and healing status of an ulnar styloid fracture. The patients underwent both clinical and radiological examination and completed two different questionnaires. One hundred and one, of 200 distal radial fractures, were associated with an ulnar styloid fracture. Forty-six of these developed an ulnar styloid nonunion. The authors encountered significantly higher pain scores (ulnar sided pain p = 0.012), a higher rate of DRUJ instability ( p = 0.032), a greater loss of motion and grip strength ( p = 0.001), and a poorer clinical outcome in cases with an ulnar styloid fracture, but no differences were apparent when those with healed ulnar styloid fractures or ulnar styloid nonunions were compared ( p > 0.05). The investigators propose that the incidence of ulnocarpal complaints following distal radial fracture depends on the presence but not the healing status of an ulnar styloid fracture.

Download Full-text

Grip strength among Indigenous and non-Indigenous Australian adults: a longitudinal study of the effects of birth size and current size

BMJ Open ◽

10.1136/bmjopen-2018-024749 ◽

2019 ◽

Vol 9 (4) ◽

pp. e024749

Author(s):

Timothy Howarth ◽

Belinda Davison ◽

Gurmeet Singh

Keyword(s):

Young Adults ◽

Grip Strength ◽

Lean Mass ◽

Low Birthweight ◽

Indigenous Australians ◽

Birth Size ◽

Indigenous Australian ◽

Cross Sectional ◽

Increased Risk ◽

Lower Grip

ObjectivesIndigenous Australians are born smaller than non-Indigenous Australians and are at an increased risk of early onset of frailty. This study aimed to identify the relationship between birth size, current size and grip strength, as an early marker of frailty, in Indigenous and non-Indigenous young adults.DesignCross sectional data from two longitudinal studies: Aboriginal birth cohort (Indigenous) and top end cohort (non-Indigenous).SettingParticipants reside in over 40 urban and remote communities across the Northern Territory, Australia.ParticipantsYoung adults with median age 25 years (IQR 24–26); 427 participants (55% women), 267 (63%) were remote Indigenous, 55 (13%) urban Indigenous and 105 (25%) urban non-Indigenous.Outcome measuresReliable birth data were available. Anthropometric data (height, weight, lean mass) and grip strength were directly collected using standardised methods. Current residence was classified as urban or remote.ResultsThe rate of low birthweight (LBW) in the non-Indigenous cohort (9%) was significantly lower than the Indigenous cohort (16%) (−7%, 95% CI −14 to 0, p=0.03). Indigenous participants had lower grip strength than non-Indigenous (women, −2.08, 95% CI −3.61 to –0.55, p=0.008 and men, −6.2, 95% CI −9.84 to –2.46, p=0.001). Birth weight (BW) was associated with grip strength after adjusting for demographic factors for both women (β=1.29, 95% CI 0.41 to 2.16, p=0.004) and men (β=3.95, 95% CI 2.38 to 5.51, p<0.001). When current size (lean mass and body mass index [BMI]) was introduced to the model BW was no longer a significant factor. Lean mass was a positive indicator for grip strength, and BMI a negative indicator.ConclusionsAs expected women had significantly lower grip strength than men. Current size, in particular lean mass, was the strongest predictor of adult grip strength in this cohort. BW may have an indirect effect on later grip strength via moderation of lean mass development, especially through adolescence and young adulthood.

Download Full-text

Pins and Plaster vs External Fixation in the Treatment of Unstable Distal Radial Fractures

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(05)80095-6 ◽

1995 ◽

Vol 20 (3) ◽

pp. 365-372 ◽

Cited By ~ 41

Author(s):

D. T. HUTCHINSON ◽

G. O. STRENZ ◽

R. A. CAUTILLI

Keyword(s):

Grip Strength ◽

External Fixation ◽

Complication Rate ◽

Patient Questionnaire ◽

Distal Radial Fractures ◽

Treatment Groups ◽

Radial Length ◽

Record Review ◽

Unstable Fractures

90 unstable fractures of the distal radius were studied in a randomized, prospective manner. Follow-up consisted of patient questionnaire, medical record review, therapist evaluation and radiography at 4 months, 1 year and 2 years post-operatively. Overall results were good or excellent in 94%. No significant differences were found between treatment groups (external fixation and pins and plaster) in final results, range of motion, intrinsic tightness, grip strength, or the presence of arthritis. The complication rate was high for both groups (45%), and half of the complications were major. External fixation maintained radial length more effectively (significantly in those patients followed for 2 years) but was associated with higher initial costs (20 times) and a greater number of minor complications.

Download Full-text

Body Composition, Strength, and Dietary Intake of Patients with Hip or Knee Osteoarthritis

Canadian Journal of Dietetic Practice and Research ◽

10.3148/cjdpr-2015-037 ◽

2016 ◽

Vol 77 (2) ◽

pp. 98-102 ◽

Cited By ~ 6

Author(s):

Sarah Purcell ◽

Robert Thornberry ◽

Sarah A. Elliott ◽

Lynn Panton ◽

Michael J. Ormsbee ◽

...

Keyword(s):

Body Composition ◽

Knee Osteoarthritis ◽

Dietary Intake ◽

Grip Strength ◽

Hip Osteoarthritis ◽

Fat Free Mass ◽

Omega 3 ◽

Body Composition Assessment ◽

Wide Range ◽

Lower Grip

Purpose: To describe body composition (fat mass (FM) and fat-free mass (FFM)), strength, and nutritional characteristics of patients with hip or knee osteoarthritis undergoing total joint arthroplasty. Methods: In this prospective pilot study, osteoarthritic patients underwent body composition assessment using bioelectrical impedance analysis, grip strength measurement, and completed a 24-h dietary recall during their pre-operative assessment. Results: Fifty-five patients were included (∼66% females, age 43–89 years). Mean ± SD body mass index (BMI) was 32.79 ± 6.48 kg/m2 and 62% were obese. Compared with hip osteoarthritis patients, knee osteoarthritis patients had a higher BMI (P = 0.018) and males with knee osteoarthritis had a lower grip strength (P = 0.028). There was a wide range in FM and FFM values across the BMI spectrum. Patients with a higher FM index (FMI, FM/height in m2) had higher levels of pain (P = 0.036) and females with higher FMI had a lower grip strength (P = 0.048). Dietary under-reporting was common and many patients did not meet recommendations for protein, vitamins C and E, or omega-3 fatty acids. Those who consumed less protein than the recommended dietary allowance were older (P = 0.018). Conclusions: A wide variability of body composition and dietary intake was observed which may impact strength and ultimately affect physical function. As such, patients with osteoarthritis may benefit from targeted nutrition and physical activity interventions before and after surgery.

Download Full-text

The Effect of Isometric Massage on Global Grip Strength after Conservative Treatment of Distal Radial Fractures. Pilot Study

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/15093492.1173378 ◽

2015 ◽

Vol 17 (4) ◽

pp. 359-370 ◽

Cited By ~ 1

Author(s):

Karina Ratajczak ◽

Janusz Płomiński

Keyword(s):

Pilot Study ◽

Conservative Treatment ◽

Grip Strength ◽

Distal Radial Fractures

Download Full-text

Patient satisfaction after treatment of distal radial fractures in older adults

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193419878981 ◽

2019 ◽

Vol 45 (1) ◽

pp. 77-84 ◽

Cited By ~ 2

Author(s):

Kevin C. Chung ◽

Sarah E. Sasor ◽

Kelly A. Speth ◽

Lu Wang ◽

Melissa J. Shauver ◽

...

Keyword(s):

Patient Satisfaction ◽

Grip Strength ◽

Hand Surgery ◽

Additional Patient ◽

Distal Radial Fractures ◽

Level Of Evidence ◽

Wrist Motion ◽

Surgical Trial ◽

Patient Reported ◽

Functional Measure

The Wrist and Radius Injury Surgical Trial (WRIST) collaboration is the largest clinical trial ever conducted in hand surgery. We applied data from this study to examine the relationship between functional outcomes and patient satisfaction after treatment of distal radial fractures. Patients aged 60 years and older with isolated distal radial fractures were enrolled at 24 health systems. Grip strength and the arc of wrist motion were measured after treatment. The Michigan Hand Outcomes Questionnaire was used to measure patient satisfaction. Receiver operating characteristic curves were created using patient satisfaction as the reference standard and each functional measure as a predictor. At 12 months after treatment, mean grip strength was 82% of normal and mean arc of motion was 88% of normal. The optimal cut-off points to distinguish satisfaction from dissatisfaction occurred when patients recovered 59% of hand strength and 79% of wrist motion. Continuing therapy to increase functional gains beyond this point unnecessarily utilizes healthcare resources without additional patient-reported gains. Level of evidence: IV

Download Full-text

Distal Radial Fractures in the Superelderly: Does Malunion Affect Functional Outcome?

ISRN Orthopedics ◽

10.1155/2014/189803 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 13

Author(s):

N. D. Clement ◽

A. D. Duckworth ◽

C. M. Court-Brown ◽

M. M. McQueen

Keyword(s):

Activities Of Daily Living ◽

Functional Outcome ◽

Grip Strength ◽

Normal Level ◽

Daily Living ◽

Wrist Pain ◽

Distal Radial Fracture ◽

Distal Radial Fractures ◽

Dorsal Angulation ◽

Level Function

Purpose. The management of unstable distal radial fractures in the superelderly (≥80 years old) remains controversial. The aim of this study was to compare the functional outcome of super-elderly patients with and without malunion after a distal radial fracture. Methods. We identified 51 superelderly patients living independently with displaced fractures from a prospective database of 4024 patients with distal radial fractures. Activities of daily living, presence of wrist pain, whether the wrist had returned to its normal level function, grip strength and ROM were recorded. The dorsal angulation was measured radiographically. Results. There were 17 (33.3%) patients defined to have a malunion. The outcomes of the independent patients with and without malunion were compared at a mean follow-up of 15 months. No difference was observed in activities of daily living P=0.28, wrist pain P=0.14, whether the wrist had returned to its normal level function P=0.25, grip strength P=0.31, or ROM P=0.41. An increasing degree of dorsal angulation correlated with diminished ROM (P=0.038), but did not correlate with activities of daily living (P=0.10). Conclusions. Malunion of the distal radius does not influence the functional outcome of independent superelderly patients.

Download Full-text

Lower Grip Strength and Insufficient Physical Activity Can Increase Depressive Symptoms Among Middle-Aged and Older European Adults

10.21203/rs.3.rs-147578/v1 ◽

2021 ◽

Author(s):

Han Zheng ◽

Chongqi Jia

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Grip Strength ◽

Physical Inactivity ◽

Study Group ◽

Middle Aged ◽

High Group ◽

Strength Group ◽

Insufficient Physical Activity ◽

Lower Grip

Abstract Objectives: The present study aimed to explore the interaction between grip strength and physical activity on depression, and investigate the association of physical activity with the change in depression by different grip strength groups among middle-aged and older European adults.Methods: A total of 13936 participants aged 50 years or older from the Survey of Health, Ageing and Retirement in Europe 2007-2017 were included in this study. Group-based trajectory modeling was used to identify the low, middle and high group of grip strength by gender. Generalized estimated equations were fitted to analyze the interaction effect.Results: Significant interactions between grip strength group and physical inactivity were found (O interaction=16.70, p<0.001). Significant interactions between physical inactivity and time on depression were identified in low (b interaction=22.15, p<0.001) and moderate (j interaction=22.85, p<0.001) grip strength, but a similar result was not found in high grip strength (e interaction=3.20, p=0.526). Participants in the physical inactivity group had higher depression scores in the low and moderate grip strength group.Conclusions: Grip strength and physical inactivity have interaction with depression. Lower grip strength and insufficient physical activity could increase depressive symptoms. People with lower grip strength and physical inactivity should pay special attention to the prevention of depression.

Download Full-text